sbbk april 2016.xlsx

8/18/2019 SBBK April 2016.xlsx

1/15

PEMERINTAH KABUPATEN SUME

UPTD PUSKESMAS CIMALA

Alamat : Jl. Tanjungkerta-Cimalaka No. 72 Cimalak

Email : [email protected]

SURAT BUKTI BARANG KELUAR

NOMOR DOKUMEN : 167/PKM-CMK/IV/2016

TANGGAL : 1 April 2016

Diserahkan Kepada : Loket !at

"erdasarkan LPLP #o$ : 0%/L$/PKM-CMK/III/2016

# #AMA "A& 'A&(A# )(MLA* '(M"+,

1 2 % .

1

Alat 'ntik 'ekali Pakai 1 l 'et 100 AP"D DAK2 Alat 'ntik 'ekali Pakai 23. l 'et 100 AP"D DAK

% Aloprinol ta!let %00 4 &a!let %00 AP"D DAK

A!ro5ol 'irp "otol .0 AP"D DAK

. A!ro5ol &a!let %0 4 &a!let %00 AP"D DAK

6 Aitriptilina *Cl ta!let salt 2. 4 &a!let 100 AP"D DAK

7 Aoksilin 'irp Kerin4 12. 4/. l "otol 60 AP"D DAK

Aoksilin .00 4 Kaplet 300 AP"D DAK

Antasida D+# ta!let ko!inasi &a!let 23%00 AP"D DAK

10 Anti heoroid sppositorida 'pp 20 AP"D DAK

11 Asa Askor!at VI& C &a!let .0 4 &a!let %3200 AP"D DAK

12 Asa Me8enaat .00 4 &a!let 100 AP"D DAK

1% Asiklo9ir r &!e 20 AP"D DAK

1 "edak 'alisil 2 ; - .0 4ra "ah . AP"D DAK

1. &!e .0 AP"D DAK

16 "loodseet "ah 20 AP"D DAK

17 Cat4t/"enan4 "edah #o$2/0-%/0 d4 ara ralit 200 l air 'ahet 00 AP"D DAK

2 >las Lonoer Ceent 'et 2 AP"D

2 >li!enklaid ta!let . 4 &a!let 100 AP"D DAK

%0 >liseril >?a?akolat ta!let 100 4 &a!let %3100 AP"D DAK

%1 *aloperidol ta!let 03. 4 &a!let 100 AP"D DAK

%2 *aloperidol 2 4 &a!let 200 AP"D DAK

%% *idrokortison kri 23. ; &!e AP"D DAK

%

"etaetason Kri 0$1 ; / MELASON


2/15

2 Klora8enikol 2.0 4 Kapsl 100 AP"D DAK

% Klora8enikol salep ata 1 ; &!e 22 AP"D DAK

Klor8enariain aleat C&M ta!let 4 &a!let %32.0 AP"D DAK

. Klorproain 100 M> &a!let 13000 AP"D DAK

6 Kotrioksaol &a!let 0 4 / MI,A&,IM &A" &a!let .00 AP"D DAK

7 Loratadine 10 4 &a!let .0 AP"D DAK

Masker "ah 200 AP"D DAK Metiler4oetrin Maleat &a! &a!let 100 AP"D DAK

.0 Metronidaol ta!let 2.0 4 &a!let 23600 AP"D DAK

.1 Mikonaol &!e AP"D DAK

.2 !at antit!erklosis anak Paket 2 AP"D DAK

.% !at antit!erklosis =DC 1 Paket 2 AP"D DAK

. !at antit!erklosis kate4ori 2 Paket 2 AP"D DAK

.. ksitetrasiklin *Cl 'alep Klit % ; &!e 2. AP"D DAK

.6 epraol 20 4 Kapsl 20 AP"D DAK

.7 Parasetaol ta!let 100 4 &a!let 200 AP"D DAK

.Parasetaol ta!let .00 4 &a!let 10300 AP"D DAK

. Piro5ia 20 4 &a!let 200 AP"D DAK

60 Plester 73. 5 . ,oll 2 AP"D DAK

61 ,in4er Laktat Lartan In8s 'teril "otol 1 AP"D DAK

62 'al!taol ta!let 2 4 &a!let 200 AP"D DAK

6% 'alep 2- ko!inasi : as$asal 2 ; B "el$ ; Pot 2 AP"D DAK

6 'i9astatin 10 4 &a!let 200 AP"D DAK

6. 'i9astatin 20 4 &a!let 200 AP"D DAK

66 'iprooksasin .00 4 s!4 *Cl &a!let 100 AP"D DAK

67 'l8asetaid #atri &etes ata 1. ; Ples 2 AP"D DAK

6 &a!let &a!ah darah ko!inasi : "esi II 'l8at &a!let %3000 AP"D DAK

6 &iain *CL Vit "1 ta!let .0 4 &a!let 23.00 AP"D DAK

70 &riheksi8enidil *Cl ta!let 2 4 &a!let 00 AP"D DAK

71 'olde5ta &a!let 200 AP"D DAK

72 &r9it "otol 60 AP"D DAK

7% Vitroe4a Kapsl %00 AP"D DAK

Ci

?an4 eneria

Pet4as Loket !at Pet

Anita #rl Ihsani '3 AM= *a

#IP$

Men4etahi3

Kepala (P&D Pskesas


3/15

ANG

A

a

&an44al : %1 Maret 2016

# "A&C* +P$ DA&+ K+&

6 7

7/%1/2016 -11211 11/%0/2016 -

&P*66% 7/%1/201

11001 10/%1/201 -

1100116 10/%1/201 -

1%11021 2/2/201

1.00/106 /%1/2017

&PK21% /%1/201 -

./%1/201 -

0.0E/0.21E /%1/201 -

C1.0%."/%6" %/%1/201 -

&'M26%-2% 11/%0/201 -

7.%0.001 11/%0/201 -

A0)DV000 10/%1/2017 -

+.0.1&/1& ./%2/201 -

1%060.2% 6/%0/2016 -

/%0/2017 -

A1606+F ./%1/2017 -

+10.%-0" ./%1/201

10011 /%0/201

111202 12/%1/201. -

1%L1000 /%0/201 -

12126 %1/12/201. -

"#%1022 10/%1/2017

.%70% 1/%1/2017 -

6160.1 ./1/201 -

P22%1A+ 6/%0/201 -

10%01 %/%1/2017 -

1.0%01 %/1/2020 -

*.021 /%0/201 -

10200 6/1/201 -

102 %/%1/201

*.00%-.2& 7/%1/201 -


4/15

1221 /%1/2017 -

&212-.A+ %1/7/201 -

1.02% /%0/2017 -

1%0602-%0 6/%0/2017 -

102>10-11 7/%1/2017

2106201 -

-

2C1271-7. %/%1/201 -

02.1.E 2/1/201 -

7.%02% /%0/2016 -

.6110. %0/0./201 -

- -

1.0%002 %1/%/201 -

10-11.% /%0/201

.70021.1 2/2/201 -

2171..06 6/1/201 -*.01./16 /%1/201 -

002 2/2/201 -

A206 *, 10/%1/201 -

1100111 %1/0/201 -

=1026.0/0% %0/6/2017

*10%060 %1//2016

&'D26% %/%1/201

D1%/. %1/1/2017 -

C1.0.0/0 10/%1/2017 -

1%0.060% ./%1/2017 -

1.010%1 %1//2017 -

&IE21-22 %0/6/2020 -

alaka3 1 April 201.

an4 en?erahkan

4as !at Pskesas

ini ,e4inaasli3 AM=

%0227 20060 201.


5/15

PEMERINTAH KABUPATEN SUMEDAN

UPTD PUSKESMAS CIMALAKA

Alamat : Jl. Tanjungkerta-Cimalaka No. 72 Cimalaka





Diserahkan Kepada : Poskesdes 'eran4

"erdasarkan LPLP #o$ : 0%/P'K-',>/III/2016

# #AMA "A& 'A&(A# )(MLA* '(M"+,

1 2 % .

1

Cat4t/"enan4 "edah #o$2/0-%/0 d4


6/15

&an44al : %1 Maret 2016

# "A&C* +P$ DA&+ K+&

6 7

/%0/2017 -

ka3 1 April 201.

en?erahkan

!at Pskesas

e4inaasli3 AM=

0227 20060 201.


7/15

PEMERINTAH KABUPATEN SUMEDANG

UPTD PUSKESMAS CIMALAKA

Alamat : Jl. Tanjungkerta-Cimalaka No. 72 Cimalaka





Diserahkan Kepada : PP &rnaan44ala

"erdasarkan LPLP #o$ : 0%/PP-&,#/III/2016 &an44al : %

# #AMA "A& 'A&(A# )(MLA* '(M"+, # "A&C*

1 2 % . 6

1

Antasida D+# ta!let ko!inasi &a!let 200 AP"D DAK2 >liseril >?a?akolat ta!let 100 4 &a!let 200 AP"D DAK *.021

% Klor8enariain aleat C&M ta!let 4 &a!let %00 AP"D DAK &212-.A+

#atri "ikar!onat ta!let .00 4 &a!let 100 AP"D DAK 107001

. Parasetaol ta!let .00 4 &a!let 00 AP"D DAK 2171..06

Cialaka3 1 Apri

?an4 eneria ?an4 en?era

Pet4as PP Pet4as !at Ps

#rl Aeni3 AMK *adini ,e4inaa

#IP$ 1%0227 200

Men4etahi3

Kepala (P&D Pskesas

'pri?anto3 'KM

#IP$ 16601 10% 1 00


8/15

1 Maret 2016

+P$ DA&+ K+&

7

./%1/201 -/%0/201 -

%1/7/201 -

%/%1/201 -

6/1/201 -

l 2016

hkan

kesas

li3 AM=

0 201.


9/15




Diserahkan Kepada : Poskesdes Liin 2

"erdasarkan LPLP #o$ : 0%/P'K-LC#$2/III/2016 &an44al : %1 Maret 201

# #AMA "A& 'A&(A# )(MLA* '(M"+, # "A&C* +P$ DA&+

1 2 % . 6 7

1 >liseril >?a?akolat ta!let 100 4 &a!let 100 AP"D DAK *.021 /%0/201

Cialaka3 1 April 2016

?an4 eneria ?an4 en?erahkan

Pet4as Poskesdes Pet4as !at Pskesas

G?n3 AMKe!$ *adini ,e4inaasli3 AM=

#IP$ 1%0227 20060 201.

Men4etahi3

Kepala (P&D Pskesas

'pri?anto3 'KM

#IP$ 16601 10% 1 00


10/15

K+&

-


11/15

1 Prosedr ini en4atr penediaan dan pen44naan o!at

2 'e!a4ai pedoan dala elaksanakan penediaan dan pen44naan o!at

% Penediaan dan pen44naan o!at ntk ke!thann pelaanan dilakkanse

.

6 Pet4as /arasi

7 lplpo

resep

Penediaana$Penediaan o!at dilakkan oleh pet4as 3arasi !$!at disedi


12/15

1

tk pelaanan 2

Bara e3ekti3 dan e3isien %

kan di ran4 o!at serta nitnit pelaanan sesi ke!thanB$erti! adinistrasi dala


13/15

penediaan o!at J$Pen44naan a$Pen44naan o!at dilakkan sesai pen4elaran o!


14/15

at atas resep serta ke!than di nit pelaanan$ !$erti! adinistrasi dala pen44n


15/15

an o!a

sbbk april 2016.xlsx

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